NPIMap

Organization Active NPI

Virginia Center for Cosmetic and General Dentistry

Doing business as Virginia Dental Center

  • General Practice Dentistry
  • Arlington, VA
National Provider Identifier
1649637828
Registry record updated Sep 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401413869 Issued in VA
Legal business name
VIRGINIA CENTER FOR COSMETIC AND GENERAL DENTISTRY
Doing business as
Virginia Dental Center
Practice address
1025 N Fillmore St
Suite a
Arlington, VA 22201-6701
Phone
(703) 243-7744
Fax
(703) 243-7745
NPI assigned
Jan 20, 2016
Last updated
Sep 2, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Anne Christine Hetz, MHA
Title
Practice Administrator
Phone
(703) 577-4317

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 0401414929 VA
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 0401415308 VA
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 0401415279 VA
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 0401413869 VA Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 0401414367 VA

Addresses

Primary practice location

1025 N Fillmore St
Suite a
Arlington, VA 22201-6701

Mailing address

1025 N Fillmore St
Suite a
Arlington, VA 22201-6701
Phone (703) 243-7744

Other names 1

  • Virginia Dental Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1453248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472774400000",
    "number": "1649637828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 N FILLMORE ST",
            "address_2": "SUITE A",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222016701",
            "telephone_number": "703-243-7744",
            "fax_number": "703-243-7745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 N FILLMORE ST",
            "address_2": "SUITE A",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222016701",
            "telephone_number": "703-243-7744",
            "fax_number": "703-243-7745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA CENTER FOR COSMETIC AND GENERAL DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-20",
        "last_updated": "2016-09-02",
        "status": "A",
        "authorized_official_last_name": "HETZ",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "703-577-4317",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401414929",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401415308",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401415279",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401413869",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401414367",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Virginia Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.